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1871706978
WILMA DIANE BALIEM
MOBILE, AL
NPI
1871706978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-046774)
Enumeration Date
2007-05-07
Last Update Date
2015-06-03
Business Address
-- WILMA DIANE BALIEM CRNP
1660 SPRINGHILL AVENUE
MOBILE, AL 36640-0430
Phone number: 251-665-8000
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Mailing Address
-- WILMA DIANE BALIEM CRNP
PO BOX 40430
MOBILE, AL 36640-0430
Phone number: 251-665-8000
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